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Long-term results of vitrectomy without endotamponade in proliferative diabetic retinopathy with tractional retinal detachment.
Retina. 2010 Mar; 30(3):447-51.R

Abstract

PURPOSE

The purpose of this study was to evaluate the long-term results of vitreoretinal surgery without use of intraocular silicone oil or gas in patients with proliferative diabetic retinopathy and tractional retinal detachment.

METHODS

A clinical interventional case-series study was conducted of 168 eyes of 150 patients with diabetic tractional retinal detachment who were consecutively treated by pars plana vitrectomy without endotamponade during a study period of 7 years. Per selection criterion, retinal defects did not develop or were not observed in any of the study participants before or during surgery. The surgery included pars plana vitrectomy, removal of epiretinal membranes, and retinal endolaser coagulation. Combined cataract surgery was performed in 33 eyes (20%). The mean follow-up was 23 + or - 14 months (range, 12-65 months).

RESULTS

In 158 eyes (94%), the retina reattached after surgery and remained attached until the end of follow-up. Subretinal fluid absorbed completely within 2 months after surgery. Best-corrected visual acuity improved in 126 eyes (75%) and remained unchanged in 19 eyes (11%). Mean best-corrected visual acuity improved from 2.22 + or - 1.22 at baseline to 1.24 + or - 1.00 at final follow-up (P < 0.001). At the end of follow-up, 11 eyes (7%) showed iris neovascularization, and 9 of these 11 eyes developed iris neovascularization after surgery. In multivariate logistic regression, the only factor associated with postoperative rubeosis iridis was preexisting rubeosis iridis (odds ratio, 6.4).

CONCLUSION

Vitreoretinal surgery for tractional retinal detachment in proliferative diabetic retinopathy may not necessarily be combined with an ocular endotamponade if there were no pre- or intraoperative retinal breaks.

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Authors+Show Affiliations

Tao Y
Department of Ophthalmology, People's Hospital, Peking University, Beijing, China.
Jiang YR
No affiliation info available
Li XX
No affiliation info available
Gao L
No affiliation info available
Jonas JB
No affiliation info available

MeSH

AdultAgedAged, 80 and overCataractCataract ExtractionDiabetic RetinopathyFemaleFollow-Up StudiesHumansLens Implantation, IntraocularMaleMiddle AgedRetinal DetachmentVisual AcuityVitrectomyYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20216292

Citation

Tao, Yong, et al. "Long-term Results of Vitrectomy Without Endotamponade in Proliferative Diabetic Retinopathy With Tractional Retinal Detachment." Retina (Philadelphia, Pa.), vol. 30, no. 3, 2010, pp. 447-51.
Tao Y, Jiang YR, Li XX, et al. Long-term results of vitrectomy without endotamponade in proliferative diabetic retinopathy with tractional retinal detachment. Retina. 2010;30(3):447-51.
Tao, Y., Jiang, Y. R., Li, X. X., Gao, L., & Jonas, J. B. (2010). Long-term results of vitrectomy without endotamponade in proliferative diabetic retinopathy with tractional retinal detachment. Retina (Philadelphia, Pa.), 30(3), 447-51. https://doi.org/10.1097/IAE.0b013e3181d374a5
Tao Y, et al. Long-term Results of Vitrectomy Without Endotamponade in Proliferative Diabetic Retinopathy With Tractional Retinal Detachment. Retina. 2010;30(3):447-51. PubMed PMID: 20216292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results of vitrectomy without endotamponade in proliferative diabetic retinopathy with tractional retinal detachment. AU - Tao,Yong, AU - Jiang,Yan-Rong, AU - Li,Xiao-Xin, AU - Gao,Lei, AU - Jonas,Jost B, PY - 2010/3/11/entrez PY - 2010/3/11/pubmed PY - 2010/5/7/medline SP - 447 EP - 51 JF - Retina (Philadelphia, Pa.) JO - Retina VL - 30 IS - 3 N2 - PURPOSE: The purpose of this study was to evaluate the long-term results of vitreoretinal surgery without use of intraocular silicone oil or gas in patients with proliferative diabetic retinopathy and tractional retinal detachment. METHODS: A clinical interventional case-series study was conducted of 168 eyes of 150 patients with diabetic tractional retinal detachment who were consecutively treated by pars plana vitrectomy without endotamponade during a study period of 7 years. Per selection criterion, retinal defects did not develop or were not observed in any of the study participants before or during surgery. The surgery included pars plana vitrectomy, removal of epiretinal membranes, and retinal endolaser coagulation. Combined cataract surgery was performed in 33 eyes (20%). The mean follow-up was 23 + or - 14 months (range, 12-65 months). RESULTS: In 158 eyes (94%), the retina reattached after surgery and remained attached until the end of follow-up. Subretinal fluid absorbed completely within 2 months after surgery. Best-corrected visual acuity improved in 126 eyes (75%) and remained unchanged in 19 eyes (11%). Mean best-corrected visual acuity improved from 2.22 + or - 1.22 at baseline to 1.24 + or - 1.00 at final follow-up (P < 0.001). At the end of follow-up, 11 eyes (7%) showed iris neovascularization, and 9 of these 11 eyes developed iris neovascularization after surgery. In multivariate logistic regression, the only factor associated with postoperative rubeosis iridis was preexisting rubeosis iridis (odds ratio, 6.4). CONCLUSION: Vitreoretinal surgery for tractional retinal detachment in proliferative diabetic retinopathy may not necessarily be combined with an ocular endotamponade if there were no pre- or intraoperative retinal breaks. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/20216292/Long_term_results_of_vitrectomy_without_endotamponade_in_proliferative_diabetic_retinopathy_with_tractional_retinal_detachment_ L2 - https://doi.org/10.1097/IAE.0b013e3181d374a5 DB - PRIME DP - Unbound Medicine ER -